| Mrs Mary Elizabeth Nordgulen, OTR/L, C4T | |
|
307 Boatner Road, 96th Mdg, Eglin Afb, FL 32542 | |
| (850) 883-8314 | |
| (334) 836-2247 |
| Full Name | Mrs Mary Elizabeth Nordgulen |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 307 Boatner Road, Eglin Afb, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316922552 | NPI | - | NPPES |
| 891009320 | Medicaid | AL | |
| 891009330 | Medicaid | AL | |
| 891009340 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2098 (Alabama) | Secondary |
| 225X00000X | Occupational Therapist | OT1844 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Elizabeth Nordgulen, OTR/L, C4T 307 Boatner Road, 96th Mdg, Eglin Afb, FL 32542 Ph: (850) 883-8314 | Mrs Mary Elizabeth Nordgulen, OTR/L, C4T 307 Boatner Road, 96th Mdg, Eglin Afb, FL 32542 Ph: (850) 883-8314 |
Frank Richard Pascarelli, OTR/L, BCMH, NMSE Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 96th Mdg, 307 Boatner Road, Eglin Afb, FL 32542 Phone: 404-368-4561 Fax: 404-639-2896 | |
Mr. William Craig Soucy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Mrs. Lorraine Nicole Throop, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8313 | |
Debra Sjohn Secrest, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8313 | |
Candice Babjak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-9484 | |
Carmel Joyner, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 |